Organization Active NPI

Allstar Ambulance,LLC

  • Ambulance
  • Modesto, CA
National Provider Identifier
1093578619
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ALLSTAR AMBULANCE,LLC
Practice address
4459 Spyres Way Ste E
Modesto, CA 95356-8507
Phone
(209) 554-9466
Fax
(209) 364-3736
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raman PaulNPI 1861974149
Title
Ceo
Phone
(209) 214-6186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

4459 Spyres Way Ste E
Modesto, CA 95356-8507

Mailing address

4459 Spyres Way Ste E
Modesto, CA 95356-8507
Phone (209) 554-9466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260217001779 CA Part B Supplier - Ambulance Service Supplier 3678053857 Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

4459 Spyres Way
Ste E
Modesto, CA 95356
Phone (209) 554-9466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1093578619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4459 SPYRES WAY STE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568507",
            "telephone_number": "209-554-9466",
            "fax_number": "209-364-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 SPYRES WAY STE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568507",
            "telephone_number": "209-554-9466",
            "fax_number": "209-364-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR AMBULANCE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-214-6186"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.